scholarly journals Socioeconomic, demographic and obstetric profile of pregnant women with Hypertensive Syndrome in a public maternity

2020 ◽  
Vol 41 ◽  
Author(s):  
Lia Maristela da Silva Jacob ◽  
Artur Paiva Santos ◽  
Maria Helena Baena de Moraes Lopes ◽  
Antonieta Keiko Kakuda Shimo

ABSTRACT Objective: To describe the socioeconomic, demographic and obstetric profile of pregnant women with Gestational Hypertensive Syndrome. Methods: A descriptive and correlational study, conducted in Maternity School Assis Chateaubriand, with 120 pregnant women, through a questionnaire analyzed by descriptive and analytical statistics. Results: most women had chronic hypertension (60.83%). Regarding the socioeconomic and demographic profile, most pregnant women had a mean age of 30.9 ± 6.9 years, were Catholic, brown skin color, employed, in stable unions, complete high school education, and income of up to R$ 954.00. Regarding the obstetric profile, their Body Mass Index was up to 66, slightly elevated blood pressure, an average of five prenatal consultations, two pregnancies, one delivery and no abortions. Women with chronic hypertension were older (p = 0.0024), had lower gestational age (p = 0.0219) and a higher number of abortions (p = 0.0140). Conclusions: Pregnant women are overweight/obese, with a mean age of 30.9 years and are socially vulnerable. Pregnant women with chronic hypertension are older and have a higher number of abortions.

2018 ◽  
Vol 120 (4) ◽  
pp. 6441-6448 ◽  
Author(s):  
Negin Rezavand ◽  
Saba Tabarok ◽  
Ziba Rahimi ◽  
Asad Vaisi‐Raygani ◽  
Ehsan Mohammadi ◽  
...  

2018 ◽  
Vol 30 (6) ◽  
pp. 561-571 ◽  
Author(s):  
Linda S. Adair ◽  
Christopher Kuzawa ◽  
Thomas McDade ◽  
Delia B. Carba ◽  
Judith B. Borja

Obesity, hypertension, and diabetes have risen dramatically in Asia, but few cohort studies track age and secular trends in these conditions. We use Cebu (The Philippines) Longitudinal Health and Nutrition survey data to document 1998 to 2015 prevalence and co-occurrence of body mass index (BMI; >25 kg/m2), high waist circumference (WC; >80 cm), elevated blood pressure (EBP; systolic ⩾130 or diastolic ⩾85 mm Hg), and type 2 diabetes among ~2000 women aged 29 to 62 years in 1998; and identify their relationship to community, household, and individual factors using longitudinal logistic regression. Prevalence (1998-2015) rates were 35% to 49%, BMI >25 kg/m2; 32% to 58% high WC; 21% to 59% EBP; and 2% to 14% diabetes. Only 20% of women had none of these conditions in 2015. Diabetes was strongly driven by age and secular trends in high WC related to higher socioeconomic status and urbanization. Hypertension increased with age in lower socioeconomic status rural and more affluent urban women. Results underscore the continuing need for public health measures to prevent obesity and to identify and treat hypertension and diabetes.


2016 ◽  
Vol 65 (3) ◽  
pp. 12-17
Author(s):  
Viktor A Mudrov

Selection of the optimal tactics of pregnancy and childbirth significantly depends on the expected volume of amniotic fluid. The amount of amniotic fluid reflects a condition of a fetus and changes at pathological conditions of both a fetus, and an uteroplacental complex. The aim of the study was a modification of methods for determining the expected volume of amniotic fluid. On the basis of maternity hospitals Trans-Baikal Region in the years 2013-2015 was held retrospective and prospective analysis of 300 labor histories, which were divided into 3 equal groups: 1 group - pregnant women with a body mass index (BMI) for Quetelet less than 24, Group 2 - with a BMI from 24 to 30, group 3 - with a BMI more than 30. In order to determine the expected volume of amniotic fluid were used the subjective method, the Chamberlain’s and Phelan’s methods. The error in determining volume of amniotic fluid by the existing methods exceeds 10 %, that defined need of creation of a quantitative method. On the basis of mathematical and 3d-modeling of the volume of amniotic fluid and fetal weight determined pattern change, which is expressed by the formula: VAF = IAF × М × π / GA2, where IAF - index of amniotic fluid (mm), M - fetal weight (g), GA - gestational age (weeks). Through a comprehensive analysis of anthropometric research of the pregnant women defined formula’s volume of amniotic fluid: V = 0,017 × HUF × (AC - 25 × BMI / GA)2 - М, where GA - gestational age (weeks), AC - abdominal circumference of the pregnant women (cm), BMI - body mass index for Quetelet in the first trimester of pregnancy (kg/m2), HUF - height of an uterine fundus (cm), M - the estimated fetal weight (g). In calculating volume of amniotic fluid according to the proposed ultrasonic formula error does not exceed 5,3 %, anthropometric formula error does not exceed 10,2 %. Thus, the method has a smaller error compared to the standard, and can be used to reliably determine volume of amniotic fluid in II and III trimester of pregnancy.


Children ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. 254
Author(s):  
Valerija Puškaš ◽  
Rada Rakić ◽  
Maja Batez ◽  
Dejan Sakač ◽  
Tatjana Pavlica

Background: A new method using blood pressure-to-height ratio for diagnosing elevated blood pressure/hypertension in children has been introduced recently. We aimed to compare blood pressure-to-height ratio (BPHR) and Body Mass Index (BMI) in predicting incidence of hypertension (HTN). Methods: The sample consisted of 1133 boys and 1154 girls aged 7–15. We used the following equations for BPHR: systolic BPHR (SBPHR) = SBP (mm Hg)/height (cm) and diastolic BPHR (DBPHR) = DBP (mm Hg)/height (cm). In order to determine the accuracy of SBPHR, DBPHR and BMI as diagnostic tests for elevated blood pressure (elevated BP), we used the receiveroperating characteristic curve analyses. Results: The area under the curve (AUC) values for BMI ranged from 0.625 to 0.723 with quite low sensitivity rates from 62% to 72.5% and specificities from 58.2% to 67.3% showing a modest ability to identify children with elevated BP and HTN. On the contrary, BPHR showed a great predictive ability to identify elevated BP and HTN with AUC values of 0.836 to 0.949 for SBP and from 0.777 to 0.904 for DBP. Furthermore, the sensitivity ranged from 78.5% to 95.7%, and the specificity from 73.9% to 87.6%. Conclusion: the current study showed that BPHR is an accurate index for detecting elevated BP and HTN in children aged 7 to 15 years and can be used for early screening.


2011 ◽  
Vol 34 (8) ◽  
pp. 963-967 ◽  
Author(s):  
Romulo A Fernandes ◽  
Diego G D Christofaro ◽  
Camila Buonani ◽  
Henrique L Monteriro ◽  
Jefferson R Cardoso ◽  
...  

2016 ◽  
Vol 12 (4) ◽  
pp. 160
Author(s):  
Yessi Marlina ◽  
Emy Huryati ◽  
Yati Soenarto

Background:  A trend towards in increase of hypertension in adults and children. If criteria of hypertension according to JNC VII 2003 applied to the population aged 15-17 years in Indonesia, the prevalence of hypertension in adolescents was obtained 5.3% nationally. Examination of blood pressure and factors related to blood pressure are of particular importance in children due to the decline in physical activity and weight changes contributing to blood pressure elevations that occur at this point in maturation. Blood pressure levels begin to increase as children approach adolescence. Weight control and physical activity regularly are recommended to prevent blood pressure elevations in both adult and youth.Objective: Determine the relationship between body mass index and physical activity with blood pressure in high school students in Pekanbaru.Method: This is an analytic observational study with cross sectional design. This study was involved 353 high school students in Pekanbaru who meets inclusion and exclusion criteria through cluster sampling technique. Data collected by direct measurements such as weight, height and blood pressure whereas physical activity and characteristic of the subject was collected by questionnaire. The results of the data collection were analyzed using univariate, bivariate and multivariate analysis.Results: There is a correlation between body mass index with systolic (p=0.000; r=0.238) and diastolic blood pressure (p=0.010; r=0.136). Each increase in 1 kg/m2 body mass index was linked with an increase of 2.339 mmHg systolic blood pressure and 0.979 mmHg diastolic blood pressure. However, there is no correlation between physical activity with systolic (p=0.829) nor diastolic blood pressure (p=0,643). Multivariate analysis showed that sex and screen time activity were factors most dominantly affecting blood pressure.Conclusion: There is a correlation between body mass index with blood pressure. However, there is no correlation between physical activity with blood pressure.


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Urszula Sliwka ◽  
Katarzyna Przybylowicz ◽  
Neil MacLachlan ◽  
Jakub Morze ◽  
Anna Danielewicz ◽  
...  

AbstractThe role of nutritional status of pregnant women and birth outcomes is ambiguous. Recent studies show that pre-pregnancy body weight is equally important as weight gain during pregnancy. Body mass index (BMI) is the most accessible and easy to check a nutritional status index, which may help to control the gestation and predict infant health outcome. This study aimed to examine the associations between pre-pregnancy body mass index and the infant birth parameters. A presented observational study was offered to 200 pregnant women from Antenatal Clinic at Jersey General Hospital in 2017. Total number of 83 women agreed to take part in this project. Diet, lifestyle, socio-economic, and demographic data were obtained from participants. Delivery and birth data were taken from hospital records. Offspring feeding data and selected anthropometric measurements for mothers and their newborns were also collected. Differences between BMI for delivery type and way of feeding were verified with chi-square test. Differences and correlation between maternal BMI and newborn outcomes were verified with Kruskal-Wallis’ test and Spearman's rank test. Mean BMI of mothers included to the study was 22.8 ± 4.4 with mean weight 61.9 ± 11.6. Before pregnancy BMI was normal in 67% women and about 23% was overweight or obese. We do not observed differences between delivery type and way of feeding during first 48 hours, and women in BMI categories. Also no differences and correlation were observed for the Apgar score, gestational age of birth, and newborn's weight and length at birth. However, newborn weight correlated with newborn length (r = 0.433) and gestational age (r = 0.568) at birth. Concluding, the maternal pre-pregnancy BMI was not correlated with type of delivery, way of feeding and newborn outcomes. Previous studies show that high pre-pregnancy maternal BMI may be associated with adverse offspring outcomes at birth and later life. Future extended research is needed to explain these relations, with inclusion of the specific factors as maternal diet, lifestyle and ethnicity.


Hypertension ◽  
2019 ◽  
Vol 73 (1) ◽  
pp. 229-234 ◽  
Author(s):  
Yang Liu ◽  
Yinkun Yan ◽  
Xiangjun Yang ◽  
Shengxu Li ◽  
Lydia Bazzano ◽  
...  

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